Individual provider Active NPI

John Joseph Honacki, D.C.

  • Chiropractor
  • Cranberry Township, PA
National Provider Identifier
1073519112
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-002304-L Issued in PA
Practice address
20280 Route 19
Unit 2
Cranberry Township, PA 16066-6125
Phone
(724) 776-5095
Fax
(724) 776-5175
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-002304-L PA Primary

Addresses

Primary practice location

20280 Route 19
Unit 2
Cranberry Township, PA 16066-6125

Mailing address

20280 Route 19
Unit 2
Cranberry Township, PA 16066-6125
Phone (724) 776-5095

Other identifiers 2

IdentifierTypeStateIssuer
94379MedicaidPA
HO-128729OtherPABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000130 PA Practitioner - Chiropractic 2466645007 Practice locations: Cranberry Township, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-002304-LPAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1073519112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 ROUTE 19",
            "address_2": "UNIT 2",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666125",
            "telephone_number": "724-776-5095",
            "fax_number": "724-776-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 ROUTE 19",
            "address_2": "UNIT 2",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666125",
            "telephone_number": "724-776-5095",
            "fax_number": "724-776-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONACKI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-002304-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94379",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HO-128729",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.